‘Mentally disordered persons found in public places’ Diagnostic and social aspects of police referrals (Section 136)
‘Mentally disordered persons found in public places’ Diagnostic and social aspects of police referrals (Section 136)
复制标题
“在公共场所发现的精神失常者”警方转介的诊断和社会方面（第 136 条）
作者：
T. Turner;M. Ness;C. Imison
对市中心卫生区的所有警察转诊病例（1983年《精神卫生法》第136条）进行了为期两年的调查，确定了163例病例，其中包括重复转诊的核心小组。先前的精神病学入院，精神分裂症诊断，社会剥夺，以及对加勒比非洲裔年轻男性的偏见是主要特征。获得明确数据的困难和法律上的不确定性不公平地影响到病人、警察和精神科医生。第136条虽然不是不适当的诊断，但可以被视为在社区护理的背景下突出了未满足的社会和医疗需求。需要协调资源，包括为贫困人口提供足够的急诊住院服务和为医院边界以外的治疗提供法律规定，似乎是至关重要的。
Synopsis A survey over 2 years of all Police Referrals (Section 136 of the Mental Health Act 1983) in an inner-city health district identified 163 cases, with a core group of repeat referrals. Previous psychiatric admissions, a diagnosis of schizophrenia, social deprivation, and a bias towards young men of Afro-Caribbean ethnicity were key features. The difficulty of obtaining clear data and uncertainties within the law rebound unfairly on patients, police and psychiatrists. Section 136, while not inappropriate diagnostically, can be seen as highlighting unmet social and medical needs in the context of community care. The requirement for coordinated resources, including acute in-patient services sufficient for deprived populations and legal provision for treatment beyond a hospital's boundaries, seems paramount.